| Amor Mehta Md - Neurology Center For Epilepsy And Seizures, Llc | |
|
479 County Road 520 Suite 101-b, Building B Marlboro NJ 07746-1085 | |
| (732) 856-5999 | |
| (732) 800-0662 |
| Full Name | Amor Mehta Md - Neurology Center For Epilepsy And Seizures, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 479 County Road 520, Marlboro, New Jersey |
| Authorized Official Name and Position | Amor Ruyintan Mehta (PRESIDENT AND CEO) |
| Authorized Official Contact | 7328565999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amor Mehta Md - Neurology Center For Epilepsy And Seizures, Llc 479 County Road 520 Suite 101-b, Building B Marlboro NJ 07746-1085 Ph: (732) 856-5999 | Amor Mehta Md - Neurology Center For Epilepsy And Seizures, Llc 479 County Road 520 Suite 101-b, Building B Marlboro NJ 07746-1085 Ph: (732) 856-5999 |
| NPI Number | 1174006233 |
|---|---|
| Provider Enumeration Date | 09/13/2018 |
| Last Update Date | 11/26/2019 |
| Medicare PECOS PAC ID | 7911241542 |
|---|---|
| Medicare Enrollment ID | O20181207001183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174006233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Amor Ruyintan Mehta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558566471 PECOS PAC ID: 7113173170 Enrollment ID: I20120807000192 |
| Provider Name | Heather J Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235788696 PECOS PAC ID: 6709218688 Enrollment ID: I20191114001158 |
| Provider Name | Ioana P Bielek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861045825 PECOS PAC ID: 5890129480 Enrollment ID: I20200108000247 |
| Provider Name | Hannah W Klein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811250418 PECOS PAC ID: 8729229133 Enrollment ID: I20210216000236 |
| Provider Name | Nicole E Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013590876 PECOS PAC ID: 0840692463 Enrollment ID: I20210706000957 |
| Provider Name | Jacqueline A Romero |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912356270 PECOS PAC ID: 7315329695 Enrollment ID: I20220803001027 |
| Provider Name | Deanna Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043800758 PECOS PAC ID: 9234505629 Enrollment ID: I20221027000193 |
| Provider Name | Caryn A Moyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235853565 PECOS PAC ID: 7517324684 Enrollment ID: I20230605002146 |
| Provider Name | Sohum Trivedi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932620291 PECOS PAC ID: 2769832278 Enrollment ID: I20231226001051 |
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